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Contact Information

FAITHWALK COMMUNITY DEVELOPMENT CORPORATION
514 FOX ST.
PARIS, MO65275
 Phone: 660-327-5752
 Fax: 660-327-6233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for FAITHWALK COMMUNITY DEVELOPMENT CORPORATION · (Female)

NPI Number 1457778110
Status Active
Credentials
Entity Individual
Enumeration date 03/19/2014
Last updated 03/19/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 2004028021
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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